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Deactivated NPI 1174743892 Deactivated / Inactive NPI Male Practitioner

Dr. William Patrick Brady , PhD

Psychologist • Benton Harbor, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Brady has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 26, 2007
NPI Deactivation Date April 10, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. William Brady, PhD was a registered Psychologist practicing in Benton Harbor, MI. Throughout an active medical career spanning 17 years, Dr. Brady provided care at the practice location at 1485 SOUTH M-139 until profile deactivation on 2024-04-10.

Practice Location & Contact Primary Location

Practice Address

1485 South M-139

Benton Harbor, MI 49022

Telephone 2699250585
Fax 2699250070
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Benton Harbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Benton Harbor, MI (2669 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301000814

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Siobhan Williams , LLMSW

Social Worker - Clinical

NPI 1003327628

Limited Licensed Master Social Worker

Anna Cooper , LLMSW

Social Worker - Clinical

NPI 1003339813

Limited Licensed Master Social Worker

Jacqueline Bonardi

Counselor - Mental Health

NPI 1003483611
William Helbley , LBSW

Social Worker - Clinical

NPI 1013252931
Amber Fergison

Social Worker - Clinical

NPI 1013529650
Angela Von Dorpowski

Case Manager/Care Coordinator

NPI 1013644129

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 10, 2024

Record deactivated on April 10, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1485 SOUTH M-139, BENTON HARBOR, MI 49022 (Tel: 2699250585)

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Updated Business Mailing Address July 08, 2007

Registered at 1485 SOUTH M-139, BENTON HARBOR, MI 49022 (Tel: 2699250585)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM BRADY, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #6301000814 in MI)

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Initial NPI Registration & Enumeration April 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174743892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: July 08, 2007
Deactivation Date: April 10, 2024

Mailing Address

1485 South M-139

Benton Harbor, MI 49022

Phone: 2699250585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.